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Services
All-in-One – MSA and MCA Combo Administration Account
When someone suffers a serious injury requiring long-term medical treatment, the financial burden can be overwhelming. Ongoing care often involves complex coordination between medical bills and insurance claims, all while the injured person is trying to heal. Advanced planning with an attorney or structured settlement broker is critical. For those with catastrophic or long-term injuries, a structured settlement can offer a dependable source of income to cover medical expenses, daily living costs, and more.
To maximize benefits, Medicare Set-Aside funds can be placed in a structured annuity, offering financial security and potential tax advantages. To further protect these funds and ensure uninterrupted care, Medivest offers the All-in-One (AIO) Account, a comprehensive solution combining professional administration with strategic cost management.
What is the Medivest All-in-One Account?
The Medivest AIO Account integrates two separate accounts:
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Medicare Set-Aside (MSA) Account: Covers future medical expenses related to the injury that are typically paid by Medicare.
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Medical Custodial Account (MCA): Covers medical costs not Medicare-covered, ensuring continuous care even when MSA funds are temporarily exhausted.
Maintaining separate accounts is essential to comply with Medicare guidelines, and Medivest ensures full regulatory adherence.
Know the Difference
What is a Medicare Set-Aside Account?
An MSA account holds settlement funds allocated for Medicare-covered injury-related medical expenses. Per the Medicare Secondary Payer statute, the MSA funds are legally required to be used before Medicare pays for treatment. Once the funds have been exhausted, Medicare will pay for any expenses until the next annuity has been deposited.
What is a Medical Custodial Account?
An MCA is a separately managed fund designed to pay non-Medicare covered medical expenses. It complements the MSA by covering gaps in treatment needs and ensuring continuity of care.
Medivest Professional Administration Services
Medivest’s Professional Administration takes the stress out of managing post-settlement medical funds. Our experienced team ensures compliance, accuracy, and savings through a wide range of services:
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Adheres to CMS Medicare Set-Aside guidelines.
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Files required exhaustion reports and Attestation Forms.
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Coordinates benefits with insurers to ensure proper payment hierarchy.
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Provides discounts on prescriptions, medical supplies, and durable equipment through provider networks.
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Advocates on behalf of members with CMS/Medicare and healthcare providers.
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Ensures prompt claim payments, typically within 30 days.
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Supplies biannual activity reports showing cost savings.
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Issues Medivest ID cards for provider use, functioning like traditional insurance cards.
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Offers provider and pharmacy freedom of choice.
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Delivers peace of mind through expert fund management.
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Cost Containment Strategies to Preserve Your Funds
Medivest is committed to preserving your settlement funds so they’re available when you need them most. We use targeted cost containment methods, including:
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Applying Medicare and state fee schedules to reduce costs.
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Leveraging pharmacy partnerships for discounted medication pricing.
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Negotiating savings on future surgeries, hospitalizations, DME, and more.
Who Should Consider an All-in-One (AIO) Account?
Anyone with both MSA and non-Medicare expenses can benefit from the AIO account, but those with catastrophic injuries often see the most value. These cases typically involve ongoing care and high medical expenses, making structured management essential.
Ideal candidates include:
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Injured individuals with MSA and non-Medicare medical needs
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Traumatic Brain Injury (TBI)
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Spinal Cord Injuries
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Quadriplegia or Paraplegia
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Amputations
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Severe Burns
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Multiple Fractures
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Internal Organ Injuries
CMS Recommends When to Use a Professional Administrator
The Centers for Medicare & Medicaid Services (CMS) strongly supports professional administration under the following circumstances:
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The injured party is legally incompetent.
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The claimant is prescribed frequently abused controlled substances (as defined by CMS DUR policy).
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CMS recommends professional administration even when claimants are legally able to self-administer funds.
